Association between older age and more successful aging: critical role of resilience and depression.
Association between older age and more successful aging: critical role of resilience and depression.
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DOI：
10.1176/appi.ajp.2012.12030386
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发表时间：
2013-02
期刊：
影响因子：
--
通讯作者：
Depp CA
中科院分区：
文献类型：
--
作者：
Jeste DV;Savla GN;Thompson WK;Vahia IV;Glorioso DK;Martin AS;Palmer BW;Rock D;Golshan S;Kraemer HC;Depp CA
公众对理解和促进成功老龄化的兴趣越来越大。虽然已经有一些令人兴奋的身体健康的客观措施的实证工作，相对较少的研究发表结合身体，认知和心理评估在大型，随机选择的，以社区为基础的样本，以评估自评成功老龄化（SRSA）。在这项成功老龄化评估（SAGE）研究中，我们使用了一种结构化的多队列设计来评估圣地亚哥县1，006名年龄在50-99岁之间的社区居住成年人的成功老龄化，对80岁以上的人进行了过度抽样。随机数字拨号的修改版本用于招募受试者。评估包括一个25分钟的电话采访，然后是一个全面的邮件调查的身体，认知和心理领域，包括SRSA（从1 [最低]到10 [最高]）和积极的心理特征。在我们的样本中，平均年龄为77.3岁，平均SRSA评分为8.2，尽管身体和认知功能恶化，但年龄越大，SRSA越高（R2 = 0.027）。最好的多元回归模型，使用所有潜在的相关性，占30%的方差在SRSA，并包括弹性，抑郁，身体功能，年龄（进入回归模型中的顺序）。弹性和抑郁症有一个显着的关联与SRSA的影响大小可比的身体健康。虽然不能从横截面数据中推断出因果关系，但增加弹性和减少抑郁可能对成功衰老产生与减少身体残疾一样强的影响，这表明精神病学在促进成功衰老方面发挥着重要作用。
There is growing public health interest in understanding and promoting successful aging. While there has been some exciting empirical work on objective measures of physical health, relatively little published research combines physical, cognitive, and psychological assessments in large, randomly selected, community-based samples to assess self-rated successful aging (SRSA). In this Successful AGing Evaluation (SAGE) study, we used a structured multi-cohort design to assess successful aging in 1,006 community-dwelling adults in San Diego County, aged 50–99 years, with over-sampling of people over 80. A modified version of random digit dialing was used to recruit subjects. Evaluations included a 25-minute phone interview followed by a comprehensive mail-in survey of physical, cognitive, and psychological domains, including SRSA (scaled from 1 [lowest] to 10 [highest]) and positive psychological traits. In our sample with mean age of 77.3 years, the mean SRSA score was 8.2, and older age was associated with higher SRSA (R2 = 0.027), despite worsening physical and cognitive functioning. The best multiple regression model achieved, using all the potential correlates, accounted for 30% of variance in SRSA, and included resilience, depression, physical functioning, and age (entering the regression model in that order). Resilience and depression had a significant association with SRSA with effect sizes comparable to that for physical health. While no causality can be inferred from cross-sectional data, increasing resilience and reducing depression might have as strong effects on successful aging as reducing physical disability, suggesting an important role for psychiatry in promoting successful aging.
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影响因子：
5
作者：
Fava, Giovanni A.;Tomba, Elena
通讯作者：
Tomba, Elena
影响因子：
2.5
作者：
Dawes, Sharron E.;Palmer, Barton W.;Jeste, Dilip V.
通讯作者：
Jeste, Dilip V.
DOI：
10.1097/01.jgp.0000192501.03069.bc
发表时间：
2006-01-01
影响因子：
7.2
作者：
Depp, CA;Jeste, DV
通讯作者：
Jeste, DV
影响因子：
4
作者：
de Jager, CA;Budge, MM;Clarke, R
通讯作者：
Clarke, R
影响因子：
--
作者：
Jeste, DV;Alexopoulos, GS;Lebowitz, BD
通讯作者：
Lebowitz, BD